Graduated: 1990
Offers telehealth
NPI: 1679891501
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
3225 HILLCREST PARK DR
MEDFORD, OR 975047657
5417745700
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD, SUITE 761
PORTLAND, OR 972256777
5032162602
Source: CMS National Downloadable File, September 2026.